[HTML][HTML] STAG3 truncating variant as the cause of primary ovarian insufficiency

P Le Quesne Stabej, HJ Williams, C James… - European Journal of …, 2016 - nature.com
P Le Quesne Stabej, HJ Williams, C James, M Tekman, HC Stanescu, R Kleta, L Ocaka…
European Journal of Human Genetics, 2016nature.com
Primary ovarian insufficiency (POI) is a distressing cause of infertility in young women. POI is
heterogeneous with only a few causative genes having been discovered so far. Our
objective was to determine the genetic cause of POI in a consanguineous Lebanese family
with two affected sisters presenting with primary amenorrhoea and an absence of any
pubertal development. Multipoint parametric linkage analysis was performed. Whole-exome
sequencing was done on the proband. Linkage analysis identified a locus on chromosome 7 …
Abstract
Primary ovarian insufficiency (POI) is a distressing cause of infertility in young women. POI is heterogeneous with only a few causative genes having been discovered so far. Our objective was to determine the genetic cause of POI in a consanguineous Lebanese family with two affected sisters presenting with primary amenorrhoea and an absence of any pubertal development. Multipoint parametric linkage analysis was performed. Whole-exome sequencing was done on the proband. Linkage analysis identified a locus on chromosome 7 where exome sequencing successfully identified a homozygous two base pair duplication (c. 1947_48dupCT), leading to a truncated protein p.(Y650Sfs* 22) in the STAG3 gene, confirming it as the cause of POI in this family. Exome sequencing combined with linkage analyses offers a powerful tool to efficiently find novel genetic causes of rare, heterogeneous disorders, even in small single families. This is only the second report of a STAG3 variant; the first STAG3 variant was recently described in a phenotypically similar family with extreme POI. Identification of an additional family highlights the importance of STAG3 in POI pathogenesis and suggests it should be evaluated in families affected with POI.
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